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The use of real-time ultrasound in the management of scrotal trauma

King's College Hospital, Denmark Hill, London SE5 9RS, UK

Correspondence: Dr C. A. Lewis is currently a Senior Registrar in Radiology at St. George's Hospital, Blackshaw Road, London SW17, UK.

27 patients were studied with real-time ultrasound following severe scrotal trauma. 22 (81.5%) had ultrasound features of scrotal trauma and, of these, five (18.5%) had signs of testicular rupture. Four of these five patients underwent surgery following ultrasound. This confirmed the diagnosis of rupture and the testes were repaired. Ultrasound should be offered to all patients presenting with scrotal trauma to select patients with testicular rupture for surgery.

Key Words: Ultrasound • Scrotal trauma

Received for publication November 1, 1990. Revision received March 1, 1991.

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